Health Care Claims Analyst – Entry Level
Job Description:
- Analyze healthcare claims data to identify patterns, anomalies, and cost-saving opportunities.
- Prepare detailed reports and dashboards for internal and client use.
- Collaborate with cross-functional teams to implement data-driven solutions.
- Ensure compliance with healthcare regulations and data privacy standards.
- Support audits and quality assurance processes related to claims data
- Minimal travel may be required based on client needs
Requirements:
- Bachelor’s degree in Healthcare Administration, Business, Accounting, Analytics, Public Health, or a related field preferred
- Relevant experience working for a medical TPA or PBM either adjudicating or auditing claims may be considered in lieu or a bachelor’s degree.
- 1 year of experience in healthcare consulting, provider billing, insurance claims adjudication, or related area.
- Familiarity with healthcare databases and systems.
- Proficiency in Microsoft Office and data analysis tools.
Benefits:
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
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